[HN Gopher] CRISPR gene-editing breakthrough opens door to treat...
       ___________________________________________________________________
        
       CRISPR gene-editing breakthrough opens door to treating broad array
       of diseases
        
       Author : hassanahmad
       Score  : 555 points
       Date   : 2021-06-26 16:54 UTC (1 days ago)
        
 (HTM) web link (www.npr.org)
 (TXT) w3m dump (www.npr.org)
        
       | dcwardell wrote:
       | Crazy genetics ideas I would like explored
       | 
       | A modified tree that drops nuts of (nearly) pure graphite or some
       | other form of nondecomposable carbon which we can easily harvest
       | and sequester.
       | 
       | Photosynthesis in humans to supplement our energy consumption.
       | Shoutout to Knights of Sidonia.
       | 
       | I understand the ethical issues surrounding the second one.
        
         | genezeta wrote:
         | You may -or may not, of course- enjoy Daniel Suarez's Change
         | Agent [1]. Probably not his best but still entertaining and
         | interesting.
         | 
         | [1] https://isbn.nu/978-1-101-98466-6
        
         | semi-extrinsic wrote:
         | I believe the graphite nut proposal is too inefficient to work.
         | A single large tree absorbs around 30 kg of CO2 per year. If it
         | was able to put 10% of that into graphite nuts (which would be
         | a very good efficiency), you end up with 0.8 kg of graphite
         | nuts per tree per year.
         | 
         | To match the IEAs projections for carbon capture (7.5
         | gigatonnes CO2 captured per year in 2050) you would need around
         | 3*10^12 trees. That's about the same as the total number of
         | trees in the world. So you need to replace all of the worlds
         | trees, with the corresponding destruction of many of the
         | biggest ecosystems on earth.
        
           | pkdpic_y9k wrote:
           | Thats a pretty solid breakdown, but that 3x10^12 was a little
           | more hope-inspiring than I was expecting. Seems like a
           | workable part of a larger multi-pronged solution if you
           | streamlined the plants metabolism (?). Then again I dont know
           | what in the h*ll Im talking about so theres that...
        
         | kaba0 wrote:
         | > A modified tree that drops nuts of (nearly) pure
         | 
         | Well, we sort of have that in the form of specifically
         | engineering bacteria to create some drugs, notably insulin.
         | Though I'm sure graphene require additional biological
         | structure and that is a much harder problem them
         | adding/removing a few genes.
        
         | deegles wrote:
         | How about a fast growing bamboo variant that is denser than
         | water, so that it can be grown and then dumped into the deep
         | ocean to sequester carbon.
        
         | onlyrealcuzzo wrote:
         | As someone who knows next to nothing about genetics, it's
         | interesting to me that we haven't engineered a tree that grows
         | faster than a hybrid poplar but thicker than a oak or sequoia
         | (for carbon sequestration, and lumber).
         | 
         | An added benefit would be if the wood after harvested lasted
         | longer than a cedar.
         | 
         | I'm guessing the reason this isn't possible is more due to the
         | fact that it's just not financially worth the investment than
         | it being too difficult.
         | 
         | But I'd love to hear from someone who knows more about this
         | stuff.
        
         | toomuchtodo wrote:
         | Kudos on this comment. Had never considered the Bosch process
         | (using hydrogen) for sequestering CO2 into graphite until
         | reading this.
        
         | MichaelMoser123 wrote:
         | ... or turning people into monadic supermen.
        
       | janikvonrotz wrote:
       | Not reading the entire article - I believe this is going the
       | wrong way...
        
       | victor106 wrote:
       | This is just mind blowing.
       | 
       | What are some good investment opportunities if you think this is
       | going to revolutionize the world in the next 30-50 years?
        
         | archon810 wrote:
         | From another comment here, Verve?
         | https://finance.yahoo.com/quote/VERV
         | 
         | Any more suggestions?
        
       | DantesKite wrote:
       | A lot of times you hear about these breakthroughs in medical
       | papers or in mice, but this really feels different.
       | 
       | Like an actual breakthrough with an actual cure for a specific
       | disease. It's remarkable.
       | 
       | Here's to more cures.
       | 
       | God bless.
        
       | bawana wrote:
       | So the religious right decided that we do not own our bodies, god
       | does. Just as software companies issue a EULA, all children born
       | since 2032 are required to have their parents sign a EULA.
       | Genetic modification is strictly prohibited and punishable by
       | reduction of the government stipend that everyone receives in
       | fedcoin every month. Underground genetic modification labs are
       | run by organized crime but unfortunately those using these labs
       | also get an unplanned genetic modification in addition to the one
       | they want. They are made dependent on a drug that only those labs
       | can provide, for a price. In addition, there are monthly
       | vaccination programs for citizens to protect them against genetic
       | terrorists, carriers of lethal protoviruses who are engineered to
       | carry and disseminate Covid derivatives that target HLA SUBTYPES
       | common in Northern European and South American genotypes.
       | 
       | Yes genetic modification is another wonderful technology that
       | humans will weaponize....like atomic energy, like the internet...
        
       | calrueb wrote:
       | The fact that we can apply these sort of therapies to an adult
       | human who consists of millions upon millions of cells blows my
       | mind. Having the ability to fix our "buggy" genetic code while we
       | are alive is amazing.
        
         | rorykoehler wrote:
         | Monkey patching in production.
        
         | correcthorse123 wrote:
         | I think targetting tbe liver is far easier than most other
         | tissues though, unfortunately.
        
           | dclowd9901 wrote:
           | Gotta start somewhere...
        
         | hhjinks wrote:
         | You're off by a _couple_ orders of magnitude. There are
         | trillions of cells in a human body.
        
           | hoseja wrote:
           | 10^6 * 10^6 = 10^12
        
       | zz865 wrote:
       | Would CRISPR be the technology people would use to modify a bat
       | virus to make it human transmissable? This stuff should stay in
       | its box.
        
         | baybal2 wrote:
         | It will not stay in the box.
         | 
         | The allure of armies of supersoldiers without sense of
         | emotions, conscience, and remorse is irresistible for
         | dictators. I bet Chinese, or Russian militaries are already
         | working on that.
        
           | aussieguy1234 wrote:
           | Humans still have to be fed. Killer robots dont
        
         | koeng wrote:
         | They could also use normal editing with PCR since the genomes
         | are small. Also CRISPRs are in tons of organisms (I've
         | amplified it from yogurt), so the box is already out there.
        
         | stuntkite wrote:
         | You would not need CRISPR to do that. If something like that
         | ever occurred they would probably use other methods that have
         | been very well studied for much longer and are considerably
         | easier to apply. Including just taking blood samples from bats
         | (or pangolins or whatever) and archiving a great compelling
         | virus and culturing it in a lab. If you wanna add CRISPR into
         | the mix you could also make a virus like that make someone grow
         | some horns and get hiccups that sound like a kazoo though.
        
         | kyriakos wrote:
         | Knives can kill and save people. Almost anything can be used
         | for bad purposes in the wrong hands.
        
           | newsbinator wrote:
           | Not that I agree we should bury our heads in the sand like
           | luddites, but to be fair to OP, knives can only hurt or help
           | in a tiny human radius. It's hard to make an extinction-level
           | weapon (or extension level accident) out of them.
           | 
           | Being able to edit genes at will is a different story.
        
             | wizzwizz4 wrote:
             | Viruses are an extinction-level weapon. CRISPR? Not so
             | much. (And neither are likely to result in an extinction-
             | level accident; you'd have to deliberately deploy potent
             | bioweapons in multiple places to extinct us.)
        
               | [deleted]
        
               | SavantIdiot wrote:
               | Yes but the CRISPR engine is passed on to offspring which
               | raises massive ethical questions.
               | 
               | As I understand it (and hopefully I'm not way off base
               | here) there is a technique that creates a "gene drive"
               | which is kinda like an SDK that is inserted into the
               | patients genome which improves the efficacy of CRISPR.
               | 
               | This code finds its way into the gametes which is then
               | passed on to children. The children did not ask for this
               | SDK, but now they have it and it potentially becomes
               | immortal in human DNA.
               | 
               | On the one hand, cool: the SDK is there and possibly
               | makes it even easier to alter DNA>
               | 
               | On the other hand, holy shit: there's a ticking timebomb
               | in the populations DNA now.
               | 
               | It's called CRISPR-cas9:
               | 
               | https://wyss.harvard.edu/media-post/crispr-cas9-gene-
               | drives/
               | 
               | https://scicomm2020.wordpress.com/2020/02/24/controversia
               | l-g...
        
               | penneyd wrote:
               | Not if you're 65 it doesn't...
        
               | SavantIdiot wrote:
               | Excellent point!
        
               | ben_w wrote:
               | The really great thing about us knowing how to read and
               | edit genes now, is that if that happened we would notice
               | and could switch it off. The stuff we want to wipe out
               | using gene drives -- e.g. Malaria -- can't.
               | 
               | There are things to worry about with cheap gene
               | engineering, but that particular possibility won't affect
               | us.
        
       | Waterluvian wrote:
       | Turning medical science from a technical problem into an ethical
       | one would be a massive epoch boundary for humanity, I'd say. More
       | so than the Internet.
        
       | BurningFrog wrote:
       | So this is editing liver cells, which I read somewhere is the
       | easiest to do, since the liver absorbs foreign elements from the
       | bloodstream.
       | 
       | The success of this should mean that many genetic liver
       | conditions can soon be treated this way.
       | 
       | For other organs, I expect a longer wait.
        
         | codeulike wrote:
         | The brain is particularly hard due to blood/brain barrier,
         | crispr is too big a molecule to go through. So might need
         | injections into cerebral spinal fluid for that
        
         | wgolsen wrote:
         | The lung epithelium has also recently been transfected in
         | humans (see Translate Bio cf drug; this and similar vehicles
         | can deliver editing tools)
        
       | jonplackett wrote:
       | Wonder how long it will be until this is used to enhance rather
       | than just to cure.
       | 
       | Eg selective fast twitch / slow twitch muscle fibres.
        
         | rorykoehler wrote:
         | Probably already happening
        
           | jonplackett wrote:
           | Presumably it would be damn hard to detect if it was!
        
             | rorykoehler wrote:
             | Usain Bolt would be my number 1 candidate. His meteoric
             | rise lines up perfectly date wise with the emergence of
             | this technology and it is well documented that athletes
             | have been using themselves as guinea pigs for various pre-
             | commercial drugs due to the ability to avoid positive
             | tests.
        
         | jz_ wrote:
         | Something like this? https://www.studyfinds.org/superhero-
         | vaccine-olympic-dna-eua...
        
           | jonplackett wrote:
           | Haha. What could possibly go wrong?
        
       | ausbah wrote:
       | >Doctors infused billions of microscopic structures known as
       | nanoparticles carrying genetic instructions for the CRISPR gene-
       | editor into four patients in London and two in New Zealand. The
       | nanoparticles were absorbed by their livers, where they unleashed
       | armies of CRISPR gene-editors. The CRISPR editor honed in on the
       | target gene in the liver and sliced it, disabling production of
       | the destructive protein.
       | 
       | this is one of the coolest paragraphs I've read in a while. if
       | it's accurate, serves as a great reminder that we're in the
       | future as we speak
        
         | WheelsAtLarge wrote:
         | 100%, the mRNA vaccines fall into this future category too.
         | Being able to use RNA to direct cells to do what we need is
         | mind blowing.
        
           | piyushpr134 wrote:
           | A new world is beaconing upon us. Much like computers in 70s.
           | We are in the real early phases of this technology and this
           | would most probably make the world completely different from
           | what it is now.
           | 
           | Mind you, this is just the beginning. First we would have all
           | kinds of diseases being cured using this, 1. It would change
           | the whole medical diagnostics industry to correctly diagnose
           | the pathogen, 2. Then destroy the pathogen using DNA cutting
           | 3. It would cure cancers of many kind by enabling the T-cells
           | to fight the cancer cells effectively
           | 
           | Then we would start with reprogramming cells to do what we
           | want. For instance, we can cure baldness, completely
           | regenerate cardiac cells after heart attack.
           | 
           | However, it would not stop at this. We would have bio-
           | machines which can capture carbon dioxide, generate
           | medicines, make clothes/cotton and food. We would have bio
           | solar cells. We would bio light bulbs which ingest light
           | during the day and glow at night. We would have artificial
           | meat produced using this technology. We would have
           | carbohydrates produced using this. Plastic and sewage eating
           | bacteria would be a reality soon.
           | 
           | Next 30-40 years is going to be biotechnology as last 30-40
           | were computing.
        
             | thejackgoode wrote:
             | Blowing the other horn, as an engineer I can imagine sorts
             | of mistakes that can be made while editing DNA. We don't
             | fully understand life yet, but already cutting it in
             | pieces, for a good purpose as it may be
        
               | WheelsAtLarge wrote:
               | True, I've read stories where researchers have done
               | analysis of the DNA after the use of CRISPR and found
               | that parts other than the target had been affected.
               | 
               | But like all decisions, you weigh the good vs the bad and
               | you make a decision. In many cases it will be the best
               | choice by far. Additionally, the more we use it the more
               | we will understand the down side and we can plan for it.
               | 
               | Yup, it has a down side but we'll be able to balance the
               | good and bad parts. Techies love to focus on the good of
               | technology but I think it's good to point out the bad as
               | loud as possible so we can plan for it. The fact is that
               | the genie is out of the bottle and it won't go back in.
               | So CRISP is part of our future.
        
               | piyushpr134 wrote:
               | CRISPR is highly targetted AFAIK and read. Unintended
               | effects will actually kill it or slow it down.
        
             | DrAwdeOccarim wrote:
             | I am bullish on the tech, but don't forget about how swords
             | have two edges...there are going to be some crazy new
             | exploits in our biology this technology will be able to
             | take advantage of. Slipping genetic information past immune
             | sentinels is going to have some crazy downstream risks we
             | are just beginning to fathom.
        
               | 7thaccount wrote:
               | I watched a pretty good PBS-NOVA special on CRISPR
               | recently that covered this.
               | 
               | It seems like the scientists interviewed (some of them
               | leaders in CRISPR) were of the opinion that we should
               | stay the hell away from editing the human germ line (not
               | sure if I used the right term, but basically stuff that
               | would be passed to offspring).
        
               | DrAwdeOccarim wrote:
               | I'm not even just talking about CRISPR. mRNA-LNP is like
               | a flash drive that bypasses anti-virus software. The
               | opportunities are...dramatic.
        
               | piyushpr134 wrote:
               | The problem is that cat is out of the bag. There will be
               | much more potentially dangerous stuff which will come out
               | in future. There is no stopping it....like it or not
        
             | mrtksn wrote:
             | Out of the sudden, the sci-fi movies where the E.T.'s look
             | like insects and their gadgets look biological are much
             | more realistic.
             | 
             | Why would you manufacture anything if you can grow it?
             | This'll probably remove great deal of the maintenance too.
        
         | skybrian wrote:
         | Note that the liver is perhaps the easiest target since it
         | filters the blood.
         | 
         | See:
         | https://blogs.sciencemag.org/pipeline/archives/2021/05/20/cr...
        
           | trhway wrote:
           | I expected we would be doing this using viruses, and there
           | are viruses targeting various tissues/organs. The nanites
           | though are just really Star Trek cool.
        
             | siver_john wrote:
             | While nanoparticles could correspond to viral like
             | carriers. The reason you probably wouldn't want to naively
             | use viral particles is because any viral particle that
             | would likely attack the body naturally would also trigger
             | the immune system. That would decrease the efficacy and
             | could actually increase the likelihood of side effects.
        
               | irthomasthomas wrote:
               | https://en.wikipedia.org/wiki/CRISPR_gene_editing
               | 
               | Delivery of Cas9, sgRNA, and associated complexes into
               | cells can occur via viral and non-viral systems.
               | Electroporation of DNA, RNA, or ribonucleocomplexes is a
               | common technique, though it can result in harmful effects
               | on the target cells.[43] Chemical transfection techniques
               | utilizing lipids and peptides have also been used to
               | introduce sgRNAs in complex with Cas9 into cells.[44][45]
               | Types of cells that are more difficult to transfect (e.g.
               | stem cells, neurons, and hematopoietic cells) require
               | more efficient delivery systems, such as those based on
               | lentivirus (LVs), adenovirus (AdV), and adeno-associated
               | virus (AAV).[46][47][48]
        
         | DoctorNick wrote:
         | The record breaking temperatures that I'm suffering in the PNW
         | right now serves as a grim reminder that we won't have much of
         | a future, even with all this cool tech.
        
           | DoreenMichele wrote:
           | Everyone will move to Canada and similar places. Only the
           | poor will be left behind to die in the heat and most of the
           | world won't care and will feel like "good riddance."
           | 
           | Edit:
           | 
           | In case anyone thinks this is just snark, no. I'm in the PNW
           | and I grew up in Georgia and lived in California for a lot of
           | years, including the High Desert where I was south of Death
           | Valley and 115 in July was not unusual. I'm dirt poor and
           | have been for years. I spent years homeless.
           | 
           | The heat wave per se is not a big deal to me. But it's late
           | in the month and I'm nearly broke.
           | 
           | If the heat kills me, it will be because I'm out of funds,
           | not because 107 is a big damn deal per se. The world has
           | spent a lot of years making it clear to me that it doesn't
           | care about my welfare at all and no amount of virtue, hard
           | work, yadda is ever enough to adequately remedy my problems.
        
             | DubiousPusher wrote:
             | I think you are correct. Unchecked climate change will send
             | the wealthy and middle classes North. If History is any
             | indicator, they will close the borders of their regions as
             | tightly as possible and commit a pitance to "humanitarian
             | aid" leaving the poor piling up in refugee camps on their
             | borders.
             | 
             | We have the examples of the U.S. border, Australia's camps
             | on Naru, the various permeant refugee camps spread across
             | the Eastern Mediterranean and many more as examples.
             | 
             | As the situation becomes more intense, migrants will become
             | more desperate and bold. The reaction from the wealthy
             | enclaves will become more and more repressive. (Who
             | themselves will be seeing a diminished standard of living).
             | 
             | In my opinion, the only thing that could spare us this
             | future is a global commitment to universal rights and more
             | equal resource distribution. But this would require
             | countries like the United States to write rights of non-
             | citizens deeply into their constitutions. And that is
             | likely unattainable at this time.
        
               | DoreenMichele wrote:
               | Animals are already migrating to more northerly climes as
               | recent articles on Svalbard attest.* What prevents people
               | from doing the same is mostly international borders,
               | politics and money.
               | 
               | Before we had international borders, plenty of humans
               | lived migratory lives as well.
               | 
               | * https://news.ycombinator.com/item?id=27479739
        
               | DubiousPusher wrote:
               | Absolutely. Even recorded history is full of migrations
               | of large groups of people (anglo-saxons, repeated
               | migrations out of the Asian steppe, mass migrations of
               | the Native Americans after European arrival, etc). If we
               | could reach high enough state of moral development we
               | might even come to see migration as a human right. Though
               | I believe impending material poverty will make that
               | unlikely.
        
               | DoreenMichele wrote:
               | In spite of my own personal challenges, I'm actually more
               | hopeful than many people seem to be. (Edit: at least for
               | humanity. Not necessarily for myself.)
               | 
               | https://news.ycombinator.com/item?id=22028732
        
           | civilized wrote:
           | There are populated areas whose livability is threatened by
           | climate change. These are in very poor, low-latitude regions
           | like Northern India. Sorry to burst your bubble, but PNWers
           | will have the privilege of surviving and thriving with
           | relatively minimal issue.
           | 
           | As always, the consequences of the environmental sins of the
           | global wealthy, like you and me and most HNers, will be borne
           | by the global poor in other places. We are all responsible
           | for what they will endure in the coming decades.
           | 
           | Eco-despair is, as always, a facile psychological defense
           | mechanism and a luxury of the most privileged. We are
           | responsible for the problem, and we also have the most power
           | to solve it. We need to act accordingly. Starting with a
           | calm, rational, comprehensive reckoning of our options,
           | including nuclear (which has made France the low-carbon
           | leader of the developed world).
           | 
           | Instead of letting guilt paralyze us with delusional
           | fantasies of a well-deserved universal doom, we should use
           | our privilege to advance no-carbon energy and carbon capture
           | to hopefully protect the less fortunate people whose futures
           | truly are threatened.
        
             | DoctorNick wrote:
             | I don't know if you've noticed, but the political process
             | is completely fucking broken. Good fucking luck getting any
             | of that passed in any meaningful form.
        
               | cbozeman wrote:
               | You're not going to have to worry about that.
               | 
               | Once rich people are inconvenienced, the problem will be
               | taken seriously.
               | 
               | Case in point, there was no "opioid crisis" in America
               | until some rich Senator's daughter overdosed on heroin.
               | Then all of a sudden it's a crisis.
        
               | civilized wrote:
               | Yes, life is hard.
               | 
               | Yes, we have to live through it anyway.
               | 
               | Just like everyone else who lived before us.
        
             | piyushpr134 wrote:
             | Northern India has always been this hot. I remember in 90s
             | and early 2000s and god it was so freaking hot in May and
             | June. There is this thing called loo in India (not the
             | toilet) but this is warm westerly winds which start in the
             | afternoons. It sucks your soul (and hydration and sodium
             | out) and leaves you fully dehydrated. Many people die of
             | that heat stroke caused by this loo.
             | 
             | But then monsoon comes in July and it is hot and sweaty!
             | People don't die anymore of heat stroke but it is
             | uncomfortable like anything. Once we reach september, we
             | are back to normal and it is festival time! This continues
             | till Novemeber when more festivals come like diwali,
             | christmas etc along with wedding season (yes we have
             | those).
             | 
             | Then with a zip in the air, Cold season starts and soon it
             | is freaking cold in Dec and Jan. Like really chilly winds
             | but no snow. We have our rajai (quilts) which save us. Poor
             | people on streets die again but rich ones have their rajai,
             | sweaters, tea and warm bonfires and heaters. Then comes feb
             | and it is really beautiful again. Flower bloom. And it is
             | festival time again. April comes which tells us that we are
             | in for a May & June again. :)
        
               | ben_w wrote:
               | From the maps I've seen, Northern India itself is only a
               | bit warmer than it used to be; However, if I understand
               | correctly, the problem is the effect on the Himalayas and
               | the subsequent consequences to the Northern India water
               | supply: https://www.downtoearth.org.in/news/water/crisis-
               | in-the-hima...
        
             | awestroke wrote:
             | I'm not sure your calm and comprehensive reckoning of your
             | options will be comprehensive enough to have any effect on
             | where we as a species are heading.
             | 
             | Because I don't shy away from facts, I am paralyzed? I
             | disagree. If anything, I am less paralyzed than people who
             | refuse to see where this path leads. I vote for green
             | policies and try to inform others, even when I know there
             | is no hope.
        
               | civilized wrote:
               | Nah, you don't know the technology well enough to say if
               | there is no hope. This is just the fashionable moralistic
               | eco-despair of the privileged: "we are doomed because we
               | deserve it." No, we're not doomed, maybe some poor people
               | of the global South are because of what we do, but we're
               | not.
        
               | awestroke wrote:
               | The science agrees with me. What is this "the technology"
               | that you refer to? Carbon capture?
        
               | civilized wrote:
               | "The" science, whatever that is supposed to be, doesn't
               | say we are all doomed.
        
           | johnwheeler wrote:
           | So what then? We should throw our hands in the air and give
           | up? Take the good news as it comes.
        
           | cj wrote:
           | It's not impossible to speculate the possibility that in
           | 50-100 years, climate change could be reversed through a
           | CRISPR-like technology (e.g. something that can be released
           | and replicate in the environment, thereby changing it).
           | 
           | Or at the very least, I can see a future where gene editing
           | could relieve your suffering from heat by raising the
           | threshold your body can tolerate :)
        
             | ProjectArcturis wrote:
             | You want something that replicates in the environment and
             | removes carbon? We have those. They're called "plants."
        
               | nr2x wrote:
               | Even if we reforested every possible area, the current
               | rate of carbon outlay exceeds capacity to absorb.
               | 
               | Well explained in the Economist video:
               | https://youtu.be/EXkbdELr4EQ
        
               | pkdpic_y9k wrote:
               | Does this include ocean farming based carbon capture?
               | That sounded like a pretty positive route in terms of
               | land use limitations when I heard about it.
        
               | chr1 wrote:
               | If we could convert Sahara back into a savannah or farms,
               | the amount of carbon required for the new soil and plants
               | would exceed the amount of extra carbon we have added to
               | the atmosphere so far. And there are many viable routes
               | to do that. E.g. building large number of ocean thermal
               | energy conversion plants [1] to reduce temperature of the
               | north hemisphere, recreating conditions that have caused
               | green Sahara in the past. There are numerous
               | possibilities to use engineering to revert adverse
               | effects of climate change, and to actually improve the
               | climate. The only scenario when we are doomed, is if
               | population declines significantly so that we get runaway
               | effect from carbon we have already produced melting
               | permafrost, and not have large enough economy to use
               | geoengineering on a large enough scale.
               | 
               | [1] https://en.wikipedia.org/wiki/Ocean_thermal_energy_co
               | nversio...
        
               | nr2x wrote:
               | So there's one minor problem with the Sahara...
        
               | nobodyknowsyoda wrote:
               | > They're called "plants."
               | 
               | Incidentally, CRISPR + plants is one of the most
               | promising solutions to climate change: https://www.ted.co
               | m/talks/joanne_chory_how_supercharged_plan...
        
               | p1mrx wrote:
               | If food crops are engineered to grow big, carbon
               | sequestering roots, how will we determine whether the
               | quality and safety of the food is unaffected?
        
               | nitrogen wrote:
               | Mass spectrometry and similar analysis methods to look
               | for unexpected proteins in the food parts, followed by
               | feeding the food parts to animals and seeing what
               | happens.
        
               | wavegeek wrote:
               | Thank you for your patronizing response to the above
               | poster.
               | 
               | The problem is to do with things called "numbers".
               | 
               | 1. There is no spare land to devote to CC. You could do
               | this only at the cost of poor people's food supply.
               | 
               | 2. The rate at which plants remove CO2 from the air is
               | very low. Far too low to solve the problem.
        
               | ben_w wrote:
               | 1. Can be solved with phytoplankton, and separately also
               | by more land-area-efficient farming e.g. greenhouses, 2.
               | Can be improved with genetic engineering.
               | 
               | Do the right generic engineering and you even get the oil
               | feedstocks you need for plastics. You could even put the
               | algae in a tube on a rooftop as an alternative to PV, if
               | you could resolve the issue of unwanted other
               | phytoplankton getting in and gumming it up.
        
               | jdavis703 wrote:
               | A lot of agricultural land is wasted growing crops to
               | feed to animals. If we were to lower meat consumption,
               | agriculture land could be freed for other uses without
               | taking away poor people's food supply.
        
               | ProjectArcturis wrote:
               | Anytime I see a TED talk, I just automatically assume the
               | technology is at best overhyped and at worst completely
               | fraudulent.
        
             | PixelOfDeath wrote:
             | Looking at the world right now, I hope for the best with
             | that gene therapy against sociopathic billionaires.
        
             | coliveira wrote:
             | Too bad for the millions of people who will die because of
             | the changes during these 50 years...
        
             | nr2x wrote:
             | At current rates of carbon outlay, there won't be much of a
             | world left to save in 100 years.
        
               | kortilla wrote:
               | That statement isn't backed by science
        
               | pkdpic_y9k wrote:
               | Not unless we all work our asses off! Engineers can do
               | anything :^)
        
               | matmatmatmat wrote:
               | ... except politics, engineers are usually not very good
               | at politics, and climate change is, in large part, a
               | political problem.
        
               | dantheman wrote:
               | It's a technology problem unless you want condemn most of
               | the world to an incredibly low standard of living.
        
               | ben_w wrote:
               | Yes, but what we can do is try to invent things which are
               | better then the status quo in terms of _both_ money _and_
               | the environment -- if people use those inventions for
               | purely selfish reasons, they're still helping the world.
        
               | pkdpic_y9k wrote:
               | again, I love me some doom trolling but only if it helps
               | motivate work, and if software engineers can build
               | platforms that undermine democracy I gotta believe its at
               | least possible they can undermine bad politics too
        
           | nitrogen wrote:
           | Stop with the doom trolling and get busy inventing solutions.
        
             | anonuser123456 wrote:
             | This++
        
             | pkdpic_y9k wrote:
             | Heck yeah, this why I keep coming back the HN community.
             | But if you gotta get that doom trolling out too its all
             | good as long as it reminds us all how hard we gotta keep
             | workin :^)
        
               | imvetri wrote:
               | In hackerrank I was expecting post like
               | 
               | "Show:HN I injected chameleon DNA to my dog"
        
             | stavros wrote:
             | Without doom trolling nobody will vote for the people who
             | want to implement the costly solutions.
        
               | nitrogen wrote:
               | There's a curve to most people's response to levels of
               | advocacy. The response rises with advocacy to a point,
               | but then past a certain point, the response drops
               | precipitously. When the advocacy turns into over-the-top
               | vehemence, people tend to stop responding and may even
               | respond negatively (i.e. rebel and go full anti-
               | whatever).
               | 
               | As an example of a similar drastic falloff at the top of
               | a response curve, I recall reading that people who live
               | right next to a dam report near zero concern about the
               | dam collapsing, but as you go further away people are
               | very concerned, then somewhat concerned, than only little
               | concerned.
               | 
               | So anyway, we need more carrots, fewer sticks.
        
               | stavros wrote:
               | Hmm, that's interesting about the dam, though I wonder
               | whether only the people who wouldn't fear a dam collapse
               | would live next to one.
        
               | TOMDM wrote:
               | Or if living closer to a dam means you are more likely to
               | be better informed as to the construction and safety
               | margins and thus less likely to think catastrophic
               | failure is likely.
        
             | lagadu wrote:
             | We have solutions, there's an entire field with solutions,
             | it's called climate engineering[0]. The problem is that
             | currently it's not politically supported because the
             | thought of humans actively editing the climate to suit our
             | needs makes the wildly vast majority of environmentalists
             | start foaming at the mouth and, ironically, doom trolling
             | any solutions because the current thought paradigm is "we
             | have to interfere less", ignoring that it's way too late
             | for that. Also because with climate engineering there's
             | very little need to reduce emissions, which again makes
             | current environmentalists get aneurysms.
             | 
             | In other words, nowadays climate change is no longer an
             | engineering problem, only a political one.
             | 
             | [0] https://en.wikipedia.org/wiki/Climate_engineering
        
               | _djo_ wrote:
               | That's a simplistic take and unfair to those who are
               | cautious about it.
               | 
               | Most opposition to climate engineering is based on the
               | risks of introducing more instability to a complex system
               | we already don't completely understand. For instance
               | experiments to fertilize oceans with iron to supposedly
               | stimulate phytoplankton production had all kinds of
               | unexpected side effects and failed to produce the hoped-
               | for outcome.
               | 
               | We will certainly be forced into climate engineering
               | solutions of some sort, as emission reductions alone are
               | no longer sufficient to solve the problem even if we drop
               | to net zero immediately, but they should be treated with
               | caution and skepticism because of the inherent risk
               | involved.
               | 
               | It also varies by the type of engineering. CO2
               | sequestration is widely accepted and desired because of
               | its low risk, but it's difficult and expensive.
        
             | iaml wrote:
             | Technical solutions are often ineffective when faced with
             | obstacles of politics or cutting corners to make money.
        
               | CapmCrackaWaka wrote:
               | Unfortunately I think technical solutions are the only
               | thing that will save us. Most countries would rather
               | invade others then give up their standard of living.
        
             | toomanyducks wrote:
             | Here's my controversial opinion - the best individual
             | solution is to do less stuff. To me, it doesn't make sense
             | that a problem caused by over-zealous production will be
             | solved by over-zealous production. We can't really expect
             | making more stuff to solve our problems caused by making
             | too much stuff. The new stuff we make should be targeted at
             | increasing the efficiency of production, but, while
             | helpful, I can't help but view that innovation as only part
             | of a solution. Another part of the solution is individuals
             | trying to change the functions of corporations, and the
             | only way I can think to do that is by doing and demanding
             | less overall. Still, though, individual change feels like
             | it's meaningless at this point. The building I live in is
             | run on solar, and climate awareness has been baked into my
             | school curriculums since elementary school, but if Exxon
             | Mobil doesn't sort its shit out, I don't think my house is
             | going to do much.
             | 
             | The rest of the solution, and this is controversial opinion
             | number two, is that we need to reorient the purpose of
             | corporations, and the economy as whole, from profit to
             | humanity. Only 20 companies produced 35% of GHG emissions,
             | and 100 produced 70%[0]. This isn't an individual issue,
             | and it won't be fixed by individual solutions.
             | Corporations, driven by innovation as an extension of
             | profit, caused this problem. If we _just_ request more
             | innovation, I feel like we 're going to be fucked.
             | 
             | I agree that climate despair is unhelpful, but so is the
             | "let's let innovation sort it out" attitude - we need real
             | structural change that innovation within capitalism can't
             | provide. I'd suggest Marxism, but I doubt that's something
             | most people want to hear.
             | 
             | 0: https://climateaccountability.org/pdf/CAI%20PressRelease
             | %20D...
        
               | hoseja wrote:
               | By doing less stuff you're ultimately decreasing your
               | evolutionary fitness, benefiting those who don't have
               | such qualms.
        
               | toomanyducks wrote:
               | I'm also asexual. I'm well past worrying about that, even
               | if I did follow your logic there.
        
             | [deleted]
        
         | [deleted]
        
         | kaminar wrote:
         | Wasn't there a recent HN article about another genetic splicer
         | that's 1000x faster than CRISPR?
        
         | noveltyaccount wrote:
         | Is this a one-time treatment? Does it remove all of the
         | offending genetic material, and then when those cells divide
         | they are cured? Or does it require ongoing treatment?
        
           | drran wrote:
           | Patient will need to do it once per 1,5-2 years.
           | 
           | See https://www.youtube.com/watch?v=aoczYXJeMY4 .
        
           | rolleiflex wrote:
           | It's editing the genes of the cells of the liver, so
           | presumably when those liver cells divide and multiply, the
           | change would also be copied along as well.
           | 
           | What isn't clear to me is that if this is targeted at the
           | liver cells in particular, or splicing it for every cell in
           | the body. In other words, this could be a germline mutation
           | (passed to children) or it could be a somatic mutation (no
           | change to future children), it depends on how targeted the
           | treatment was.
        
             | wgolsen wrote:
             | When administered IV, most LNPs of this type are highly
             | selective for hepatocytes. This edit cannot be passed on as
             | no germ cells will be transfected.
        
             | kaba0 wrote:
             | Even if it is not specific, I would believe gametes are not
             | affected/can be easily excludes due to the blood-testis
             | barrier.
        
         | puchatek wrote:
         | If eating GMOs has you scared, this should be absolutely
         | terrifying
        
           | esperent wrote:
           | So if I'm fine with GMO food (and medicine), by extension
           | I'll fine with this.
           | 
           | ... Or is that a logical fallacy?
        
             | oehtXRwMkIs wrote:
             | The inverse of a conditional is not logically equivalent.
        
             | HPsquared wrote:
             | The statement was "If A, then B". You're not A, so it
             | doesn't apply. The statement doesn't say anything about the
             | "Not A" case.
        
           | TulliusCicero wrote:
           | Yeah I bet the dude in the article is scared shitless about
           | nanoparticles now that he's not gonna die.
        
           | alex_sf wrote:
           | All crops are GMO. The only difference is how fast they were
           | modified.
        
             | karottenreibe wrote:
             | Are you saying that's not a significant difference? It
             | seems to me.
        
               | laburn wrote:
               | It seems to you what?
        
               | hoseja wrote:
               | Probably that letting the slow-GMO survive in a natural
               | environment for hundreds of years does wonders for
               | ironing out the really bad bugs.
               | 
               | I'm not anti-GMO but i've been more wary ever since I
               | realized it will inevitably be used to make better
               | citizens (and not by making them better humans).
        
               | petre wrote:
               | It depends. There's a number of dog breeds with known
               | genetical issues.
               | 
               | GE is a double edged sword just like nuclear energy. With
               | great power comes great responsability.
        
               | hoseja wrote:
               | Those are mostly innovations of the latest century or so,
               | bred "scientifically", regulated by dog breed foundations
               | and chasing dog-show metrics.
        
               | alex_sf wrote:
               | Not really any more alarming to me than the initial
               | domestication I guess. Manipulating the world around us
               | is kinda our whole deal as a species.
        
             | rorykoehler wrote:
             | This is false. The distance between selective breeding and
             | GMO is horizontal vs vertical gene transfer.
        
             | null_object wrote:
             | > All crops are GMO. The only difference is how fast they
             | were modified.
             | 
             | This is often said in defense of GMO, but surely cross-
             | breeding and hybridization - a farmer or gardener
             | attempting to combine the _entire_ genetic entity of one
             | plant with another one (which must therefore be naturally
             | compatible), to increase the potential utility of the
             | result - is totally different to inserting a single gene
             | from a totally arbitrary source (which can therefore be a
             | completely separate life-form)?
        
               | drran wrote:
               | If I make a sandwich (wheat genes + chicken genes + cow
               | genes + yeast genes) and cover it with honey (insect
               | genes), what will happen to me when I will eat it?
        
               | _0ffh wrote:
               | And then there's Atomic Gardening which has been done for
               | ages and does not officially count as producing GMOs,
               | IIRC.
        
       | MichaelMoser123 wrote:
       | Wikipedia says that they first used viruses as delivery agents;
       | now it's nanoparticles, aparently to avoid destruction by the
       | immune system. Also interesting that CRISPR gene editing was also
       | the subject of a patent war. Amazing stuff... (also it took them
       | less than a year to adopt the nanoparticle trick to CRISPR gene
       | editing. Things are moving fast)
       | 
       | https://en.wikipedia.org/wiki/CRISPR_gene_editing
       | 
       | https://news.harvard.edu/gazette/story/2020/11/coated-nanopa...
        
         | Alkhwarizmi wrote:
         | The patent war is already a settled matter for the reasonable
         | folks amongst us, nevertheless there are people among us who
         | still believe that the criminals at Harvard have any stake in
         | this patent!
        
       | myko wrote:
       | I'm very hopeful that someday these techniques will cure diseases
       | like Huntington's
        
       | okareaman wrote:
       | _We have tried every imaginable remedy. In some instances there
       | has been brief recovery, followed always by a still worse
       | relapse. Physicians who are familiar with alcoholism agree there
       | is no such thing as making a normal drinker out of an alcoholic.
       | Science may one day accomplish this, but it hasn 't done so yet._
       | -- Alcoholics Anonymous Chapter 3, More About Alcoholism
       | 
       | I may soon be able to drink again after having my genes edited,
       | but I'm not sure I would do it
        
         | bottled_poe wrote:
         | The word "always" in this passage doesn't sound very
         | scientific. Makes me wonder if the rest of the content has the
         | same tone.
        
           | okareaman wrote:
           | Yes it does have this tone. It's not science. It was written
           | in 1935 by Bill Wilson, a former stock market speculator and
           | salesman. It's designed to be inspirational, as in, you may
           | think you are a hopeless drunk, but I have a solution for you
           | right here in this book. Give it a try.
           | 
           | Edit: Something not often discussed is that Bill Wilson was
           | hoping to make money from this book, being dead broke in the
           | middle of the Great Depression. The first people he helped
           | sober up convinced him that he had to give it away freely.
        
       | mrfusion wrote:
       | Can anyone explain how this survives being in the blood stream
       | and then how it actually gets into the nucleus of the cell?
        
       | xwdv wrote:
       | What are the limits of gene editing?
        
         | wizzwizz4 wrote:
         | We're constrained by the subset of physics that can be
         | implemented by proteins. Plus, the genetic code can't be too
         | big, or it won't fit, but I doubt we'll ever hit that limit
         | (provided we don't go the software route and build a giant
         | tower of massive abstractions that gets copied everywhere).
        
           | hoseja wrote:
           | Proteins and things built by proteins. Teeth aren't very
           | protein-y.
        
             | xwdv wrote:
             | Why can't we hardwire genes to continue growing teeth?
        
         | stuntkite wrote:
         | I don't think there are any aside from money, time, and
         | experience. If you'd like to give yourself glowing purple eyes,
         | huge muscles, and make it so you fart clouds of illegal street
         | drugs you can but it's much more difficult and messy than
         | deleting 'node_modules', rebuilding, and doing a `git push
         | --force` into prod at 5PM on a Friday before you take a long
         | weekend.
        
         | amelius wrote:
         | Before getting too excited, let's not forget the stories where
         | gene therapy went horribly wrong.
         | 
         | https://www.sciencehistory.org/distillations/the-death-of-je...
         | 
         | > Doudna expressed similar concerns about CRISPR.
         | 
         | > "I hope that we don't get ahead of ourselves with this
         | technology. As exciting as it is, I really would like to see .
         | . . people take a very measured and responsible path forward,
         | where there's careful vetting along the way," she said. "Of
         | course, the challenge is that patients are waiting, so you
         | don't want to delay unduly. But you also want to be safe."
        
           | dclowd9901 wrote:
           | > "We were all very much aware of what happened there and
           | what a tragedy that was," she said in a recent interview.
           | "That made the whole field of gene therapy go away, mostly,
           | for at least a decade.
           | 
           | Damn this sucks to read. To think of how much progress we
           | might have made in a promising field if we could just get
           | over one person dying. Yes it's awful, and we shouldn't be
           | flippant, but we're talking about work to help _humanity as a
           | whole_. This isn't the same as saying "the means justify the
           | ends." This is just saying, "Shit, we fucked up there, let's
           | not do that again, but let's keep learning." I don't know how
           | you ever advance without making mistakes.
        
             | nojokes wrote:
             | Well, in some situations we are doing this. For example
             | even when some vaccines happen to kill some small number of
             | people, it has been argued that in current situation it is
             | still net positive.
        
         | xf1cf wrote:
         | A better question might be what are the ethical limits of gene
         | editing. How long until we stumble over eugenics but with extra
         | steps? It seems to me at least to be the natural conclusion of
         | advanced gene editing. Law of unintended consequences and all
         | that.
        
       | Bombthecat wrote:
       | Could we hack our genes to need less oxygen and eat less?
       | 
       | That could be useful in the future.
        
       | imvetri wrote:
       | Want to try chameleon color changing dna to pomerian dog
        
       | palijer wrote:
       | I feel like I missed something, and now everywhere I look we have
       | headlines like this.
       | 
       | What's wrong with "CRISPR gene editing shown to cure
       | Transthyretin amyloidosis in patient study"
       | 
       | Maybe I'm now one of the old people who doesn't understand new
       | usage of language. But I understand that usage dictates grammar
       | rules, but I feel I missed something.
        
         | MrDresden wrote:
         | I believe the metaphore of the inverted pyramid used in
         | journalism plays a part here.
         | 
         | edit: Strike that, hadn't realized that the article title and
         | the HN link differed so much.
        
         | dogma1138 wrote:
         | NPR isn't a research paper, or a researcher focused website.
        
         | eat_veggies wrote:
         | The paper linked in the article is titled "CRISPR-Cas9 In Vivo
         | Gene Editing for Transthyretin Amyloidosis." That's close
         | enough to your proposed title. If what you're looking for is a
         | technical research paper meant for people intimately familiar
         | with the field, then that's a great title.
         | 
         | But it's a terrible title for an article meant for laypeople
         | like us. The words "transthyretin amyloidosis" are utterly
         | meaningless to me and most HN/NPR readers, but "He Inherited A
         | Devastating Disease" tells me what kind of disease it is
         | (devastating, heritable) and why CRISPR gene editing might be a
         | big deal.
         | 
         | It also helps clue me into the contents of the article. Because
         | it is as much a summary of a key research result, as it is a
         | profile of Patrick Doherty, a man affected by the disease.
         | That's entirely missing from your title.
         | 
         | None of this is new. "Write for your audience" is as old as
         | writing itself.
        
         | phreack wrote:
         | I know what you mean. These headlines read less like titles and
         | more like lyrics in a song ("He was a skater boy. She said see
         | you later boy."). It feels a bit condescending, as if it was
         | aiming at children. I'd much prefer a title with a "person with
         | thing does action" style.
        
         | ben_w wrote:
         | I think it's just an oddity of newspapers. Even before it was
         | called "going viral", they've been a bit like that.
        
         | boublepop wrote:
         | > What's wrong with "CRISPR gene editing shown to cure
         | Transthyretin amyloidosis in patient study"
         | 
         | I understand your asking a rhetorical question but in the
         | interest of having a discussion about this I'll try to give you
         | an answer. Imagine a title like "Xonuicfixs shown in
         | zenocttkike to cure Xclatngt"
         | 
         | Reading that you might thing "wrf are they talking about?" But
         | imagine I just change the title to be more like:
         | 
         | "A breakthrough in Xonuicfixs shows promise as a cure for a
         | range of decided."
         | 
         | Have I lowered the information content of the title? Yes,
         | certainly. However I have also made it very apparent to you an
         | others who don't know the subject matter why this is a
         | worthwhile achievement, and this might therefore just become
         | the first article that you read and learn about Xonuicfixs.
         | 
         | And really shouldn't that be the job of a title? To convey to
         | potential readers why the content might be with their time. And
         | I would note that this is entirely different from clickbait
         | which tires to lure you into content with no information about
         | what the content is.
        
         | wgolsen wrote:
         | In my opinion, and it seems in the NPR editor's opinion, the
         | most exciting angle to this story isn't the cure of one
         | relatively rare disease (TAA), but rather the seemingly
         | imminent cure of many/most inherited diseases which affect
         | cells of the liver. Indeed, we can even make edits that confer
         | protective benefits to people at risk for diseases due to
         | mutations OR lifestyle (see a similar approach by Verve
         | Therapeutics). This is a big story which deserves the attention
         | grabbing headline.
        
       | toomuchtodo wrote:
       | Off topic: are there any central repositories tracking gene
       | therapy progress for various genetic conditions, with a similar
       | UX to Moderna's mRNA pipeline tracker?
       | 
       | https://www.modernatx.com/pipeline
        
         | t3po7re5 wrote:
         | All FDA trials are listed here: https://clinicaltrials.gov/, I
         | believe you can search by gene. It's not as nice as the moderna
         | pipeline though.
        
           | DSingularity wrote:
           | Thanks for that!
        
       | iandanforth wrote:
       | Please do familial hypercholesterolemia soon! I know it would be
       | harder but getting started on targeting specific mutations could
       | be fruitful.
       | 
       | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3681164/
        
         | bigmattystyles wrote:
         | I want the CRISPR research that focuses on CIP accelerated. I
         | have a minor chronic pain issue that will get worse over time
         | (think sciatica). By the time I'm 60 in 25 years, it'd be great
         | if we had that. No more need for opiates or drugs that barely
         | make a dent.
         | https://en.m.wikipedia.org/wiki/Congenital_insensitivity_to_...
        
         | DrAwdeOccarim wrote:
         | It's coming very, very soon. Verve just IPO'ed and you check
         | out their S1 to see their data on using the exact same idea
         | (N1mPs mRNA + gRNA inside LNP) to treat hypercholesterolemia!
         | The data look amazing in non-human primates, which based on the
         | Intellia data, suggest 10-fold lower dose in humans should work
         | just fine.
         | 
         | https://www.biospace.com/article/releases/verve-therapeutics...
        
           | iandanforth wrote:
           | That's amazing! How does one register as a potential patient
           | for the trials?
        
             | DrAwdeOccarim wrote:
             | www.clinicaltrials.gov once their IND is open, you'll be
             | able to find it there! My guess is it's a year or so away
             | before they start recruiting.
        
       | foreigner wrote:
       | This is awesome but I'm curious why they tried it first on this
       | super-rare disease instead of something more common?
        
         | SoftwareMaven wrote:
         | Extremely rare diseases and diseases that have no known
         | treatment options are given more lax rules for testing. Without
         | that, there would be no way to develop treatments for them, but
         | it comes with a side benefit of providing a method to attempt
         | new treatment modalities.
        
         | inglor_cz wrote:
         | My 2 cents:
         | 
         | a) need to edit liver cells only, not the entire organism, b)
         | the disease is deadly, so the patients do not have much to lose
         | if anything goes wrong.
        
         | Turing_Machine wrote:
         | Wild guess: it's because he's 65. Many of these severe genetic
         | diseases kill their victims at relatively young ages.
         | 
         | Ethical researchers are thus far being super-cautious about
         | modifying the genome of someone who's likely to have children.
         | While the article doesn't say, I wouldn't be surprised to learn
         | that he has explicitly agreed not to have any (more?) children.
        
       | hmmmhmmmhmmm wrote:
       | Original paper:
       | https://www.nejm.org/doi/full/10.1056/NEJMoa2107454?query=fe...
       | 
       | This is the first published IV-administration of a gene-editing
       | CRISPR payload. Interesting convergence with the nanoparticles
       | used in mRNA vaccines. Sickle-cell and immune reprogramming edits
       | have been made on cells removed from the body. Josiah Zayner
       | infamously injected himself with CRISPR at a conference years
       | back, but (1) unpublished, AFAIK and (2) he had been drinking
       | which likely attenuated the payload [and (3) he wanted bigger
       | muscles, not to treat a disease]
        
         | gwern wrote:
         | Mirror:
         | https://www.gwern.net/docs/genetics/editing/2021-gillmore.pd...
        
       | fighterpilot wrote:
       | Stupid question: If he were to have kids, would they inherit this
       | fix?
        
         | Metacelsus wrote:
         | No. Sperm would not be edited by this method.
        
       | DrAwdeOccarim wrote:
       | Wow, it worked...This uses LNPs similar to the recent Moderna and
       | BioNTech/Pfizer vaccines, and N1m-pseudouridine mRNA, just like
       | the mRNA vaccines. This is incredible.
        
       | WheelsAtLarge wrote:
       | It's only a matter of time before we use this to cosmetically
       | modify our bodies. I predict that at the very least we'll use
       | this technic to change our hair color and eye color. I will even
       | say skin color too, with-in the next 50 years.
       | 
       | Most people won't use it but there will be an active market ,
       | legal or illegal, for the modifications. The Sci-Fi future is
       | here.
        
         | pm90 wrote:
         | On the contrary, I think most people will use it and those that
         | don't will likely do so out of religious reasons.
         | 
         | This is really great. Being born into the wrong set of genes
         | seems like an incredibly silly thing to restrict humans to.
         | Allowing humans to choose their appearance seems like it could
         | resolve a bunch of psycho social issues and hopefully people
         | can live more happy lives (although I am aware that these
         | things often lead to as yet unknown problems of their own...)
        
           | jtbayly wrote:
           | You... might want to read the story of the Sneeches by Dr.
           | Seuss.
        
         | TulliusCicero wrote:
         | Hair and eye color is bare minimum. You're gonna see cat girls
         | and wolf boys and dragonkin and all kinds of weird ass shit.
         | People making themselves intentionally disabled, people giving
         | themselves a third arm, the sky's the limit!
        
       | DudeInBasement wrote:
       | Cool, we can only show stories where it worked
        
         | carbocation wrote:
         | Human clinical trials are pre-registered, in order to prevent
         | exactly what you are describing (the 'file drawer problem').
        
         | wesleywt wrote:
         | Coming from a genetics background, I can tell you the fact that
         | it worked once is a massive achievement in itself. This is
         | science fiction.
        
       | Causality1 wrote:
       | I must be out of the loop. Last I heard trials with CRISPR were
       | making not only the desired genetic changes but also dozens of
       | others at random points in the genome. Did they solve that
       | problem?
        
         | dsign wrote:
         | Humans improve technology all the time, CRISPR gene editing
         | would be no exception.
         | 
         | Straight from Wikipedia:
         | https://en.wikipedia.org/wiki/LEAPER_gene_editing
         | 
         | I bet a dip into the specialized papers will show a multitude
         | of these techniques.
        
       | softwaredoug wrote:
       | The period missing from the title makes this very hard to parse
       | what is being said.
        
         | caymanjim wrote:
         | Agreed. NPR never used to use clickbait titles like this ("He
         | ..." is pure clickbait). It's sad to see them doing it
         | regularly now. I imagine the latest generation of journalists
         | grew up thinking this is normal. I know HN prefers original
         | headlines, but I wish these would be edited down when posted
         | here.
        
           | mjfl wrote:
           | "well then stop clicking on them!"
        
             | caymanjim wrote:
             | I often say the same thing myself. I expect it on CNN, and
             | I do passively protest by ignoring links like this most of
             | the time. NPR usually has good articles behind the links,
             | and I'm more inclined to hold my nose and click if they
             | make it to HN. In this case, the actual article is good.
             | I'm lamenting the negative trend.
        
       | changoplatanero wrote:
       | Reminds me of this guy that cured himself of lactose intolerance.
       | https://www.popularmechanics.com/science/health/a17804128/sc...
        
         | MeinBlutIstBlau wrote:
         | I think it's annoying people get upset that people who do this
         | potentially damage their bodies. First of all, it's that
         | individuals body. They can take whatever risks they want. I
         | don't see how trying to alter your own DNA is any worse for you
         | than skydiving. Both have inherent risks, none of which affect
         | others. Secondly, because there is no red tape or ethical
         | scientific practices required, this gives us the opportunity to
         | study some anecdotal evidence and (hopefully) these people
         | donate their bodies for research after death. We can't truly
         | know these affects if we constantly just act so tepid about the
         | procedures.
         | 
         | Imagine if we had the scientific process about literally every
         | aspect in human life since the dawn of civilization? We'd still
         | be making bricks with straw, manure, sand, and water because
         | there wasn't a government sponsored test of the quality of
         | "Roman Cement" therefore we should not use it. Some of these
         | people who criticize a lot of science do so just for the sake
         | of disputing it. It's a good thing this stuff happens. The more
         | anecdotal evidence we have, the more likely it can be subject
         | to legitimate scrutiny and understand certain pitfalls that
         | these individuals encountered and why. Just telling these
         | people "you're stupid, it's bad for you!" is an ultimate waste
         | of time and just stagnates data collection.
        
           | AbrahamParangi wrote:
           | I think it's sometimes a gatekeeping behavior, instinctual
           | and unconscious.
           | 
           | If writing software required being a licensed engineer then
           | you would without a doubt see reactions to open source,
           | calling it deeply irresponsible and dangerous.
        
           | tialaramex wrote:
           | > Both have inherent risks, none of which affect others.
           | 
           | If you make germline edits, this does potentially impact
           | others - you can have children who inherit the edit. They
           | don't have any choice about that (depending on the edit they
           | might randomly not receive a copy of the edited material, but
           | that's luck) and its consequences in them may be undesirable
           | even if the outcome for you, an adult, was fine and anyway
           | your choice.
        
             | karmicthreat wrote:
             | In the particular context of Though Emporium this wasn't
             | going to happen. It used an adenovirus that couldn't
             | reproduce so it was only going to alter a limited number of
             | cells in his intestine.
             | 
             | The technical requirements to this kind of limit the number
             | of people that are going to really mess themselves up. I
             | would be more worried about people accidentally releasing
             | edited bacteria or viruses.
        
               | ch4s3 wrote:
               | > releasing edited bacteria or viruses.
               | 
               | From what I understand it's hard to order the sequences
               | of DNA or RNA you'd need for this without someone
               | noticing. It's probably not impossible, but not something
               | anyone is going to bungle into.
        
               | karmicthreat wrote:
               | That's what is usually said. I don't think I've actually
               | heard of this getting triggered. I'd like to think that
               | global governments have this totally under control. Maybe
               | the US does, but does China? In any case so far it's
               | seemed like a whole "this rock keeps away Tigers" sort of
               | thing.
        
               | ch4s3 wrote:
               | I think it more a result of companies that synthesize the
               | raw material being unwilling to whip up things like SARS
               | variants, and it being quite difficult to figure
               | something out like that from scratch. That may change or
               | turn out to be incorrect, this is just my understanding
               | at the moment.
        
               | stuntkite wrote:
               | I am 100% pro bio hacking, I would go as far as to say
               | that I think the bio hacking community might be the only
               | place I can see solutions to our largest problems coming
               | from. I mean the bio hacking community too, not acedemia.
               | Not that acedamia isn't crucial to that process.
               | 
               | Anyway, Maybe a few years ago the barrier to entry was
               | too high for most people but that is so not the case
               | anymore. Even just this year a friend sent me a link to a
               | $2000 gizmo that was about the size of a pack of gum that
               | could do desktop sequencing. Generating your own custom
               | DNA in your bedroom is considerably harder (but not
               | impossible) but it is not at all difficult to order a
               | custom sequence from a half dozen different retailers.
               | The file you send them is just a big chunk of a few
               | letters. It's assembly code with no comments (yes I know
               | folks do put in comments in text sometimes and sometimes
               | biologically but just like always comments lie more than
               | not), they functionally cannot be checking for what it
               | could do if what you're working on is even remotely
               | novel. For the price of a playstation you can have it
               | delivered to your door next day air.
               | 
               | There are very real risks here for our entire planet.
               | Possibly one of our largest risks. To hide behind "it's
               | too difficult for a malicious actor" is not helpful. I
               | think genetic literacy is maybe the only thing we all can
               | do as we might be entering very weird territory as a
               | closed system that has a bent towards global narcissism
               | and self harm.
               | 
               | Something that gives me some comfort is that to be good
               | at it you really have to do a gross and difficult deep
               | dive into how all life works and I think there are very
               | few people that could do that and still feel like it's ok
               | to do harm at even a small scale. The things we are going
               | to see in the next few years will be pretty fucking
               | weird. I guess when you get down to this level, the only
               | thing to have is something like faith. Eeeek.
        
               | ch4s3 wrote:
               | I _think_ the key here is that you have to be doing
               | something novel, which seems like a high bar. Like you
               | can order the DNA for small pox. No one will fulfill
               | that. But it does seem like a determined, over-educated
               | would-be bioterrorist could pull this off with COTS
               | equipment in the very near future, maybe.
        
               | stuntkite wrote:
               | Yeah, I guess if you just send them this specific genome
               | for smallpox DNA[0] they might tell you to get lost. What
               | I'm saying is that anyone who was awful like that would
               | probably just go get a different disease in person.
               | Historically people have managed that fine without having
               | to learn version control. I mean, we have treatments for
               | smallpox and a vaccine. My point being is that it's not
               | useful to say "oh, it's too technical and I'm sure the
               | DNA providers have some checks in place." I have never
               | seen a god damned thing about what checks they are doing,
               | and I'm nearly certain they are not that well regulated.
               | I for sure know that there isn't a public accountability
               | portal for these companies.
               | 
               | What makes me feel alright is that I think to do some
               | damage is not a technical or money issue but an issue
               | with taking a dive on the closest thing we have to the
               | meaning of life and I'd hope that that study would be the
               | sort of thing that keeps someone from being the worst
               | kind of monster. I mean, we have a ton of tools out there
               | to be awful, why this?
               | 
               | I guess what I'm saying is that to look at this set of
               | problems and say "someone else probably has it handled"
               | or assume anything we know is even slightly predictive of
               | the future is silly. I think it's important for those
               | that care to get an understanding of biology as we are
               | now at an unprecedented point in existence where there's
               | just not a way to feel too comfortable. Added benefit,
               | the more people that get that understanding the closer we
               | might get to yeast that eats plastic or mushrooms that
               | make insulin.
               | 
               | [0] https://www.ncbi.nlm.nih.gov/nuccore/NC_001611.1
        
             | coryrc wrote:
             | That is the line of reasoning that leads to banning
             | abortions*. People have a right to alter their bodies.
             | 
             | EDIT: and preventing young women from choosing
             | sterilization.
        
               | bobthechef wrote:
               | How do you reason that people have the (presumably
               | absolute) right to alter than bodies however they please?
               | How do you justify that claim? It makes very specific
               | assumptions which are very problematic. For example, do
               | you have the right to lobotomize a perfectly healthy
               | brain? It is immoral? Can you say you have the right to
               | do something immoral? How about altering your uterus
               | during pregnancy to prevent nutrients from feeding the
               | child?
               | 
               | I think it's pretty obvious that right implies morally
               | acceptability. You can't claim to have a right to
               | something evil. (The reverse is not true. It is morally
               | acceptable to own a Tesla, but you don't have the right
               | to one.) Alterations can be harmful and any harm that is
               | not a justifiable side effect is by definition immoral.
               | That it's your body does not somehow negate the
               | immorality of self-harm. Indeed, direct self-harm is even
               | worse morally than harm of others because it is in direct
               | opposition to one's own good (arguably, harm of others is
               | also a form of self-harm, specifically harm of one's
               | character and will and habitus, of one's intellect
               | because of the harm of one's reasoning faculties it
               | entails, and harm of the common good). So you cannot say
               | you have the right to self-harm. This is just a strange
               | consequence of the incoherent ideology of absolute
               | autonomy.
               | 
               | Now, if you have, say, a defect in your body that is
               | preventing the proper functioning of your body, then we
               | may correct this defect through intervention. This is
               | restorative, that is, it seeks to restore the function
               | due to the body by virtue of how it ought to function.
               | This is the basis of medicine.
               | 
               | Another false view that can nudge people toward the view
               | that any modification is acceptable is metaphysical
               | materialism, also incoherent. In that case, crude
               | metaphors between artifacts and living things are
               | elevated to the status of the truth and since it doesn't
               | matter what we do to an artifact per se. We can modify a
               | computer any way we wish because there is no fact of the
               | matter about what a computer is or how it should be apart
               | from human intent. It is just a collection of things
               | arranged in a particular way incidentally that puts them
               | in a series of incidental causal relations, but there is
               | no inherent tendency for these things to exist in these
               | relations and no accounting for one in terms of the
               | others except through the lens of human intent. Living
               | things aren't like that.
        
               | jodrellblank wrote:
               | > " _How do you reason that people have the (presumably
               | absolute) right to alter than bodies however they please?
               | How do you justify that claim?_ "
               | 
               | If you couldn't gouge out your right eye and cast it from
               | thee (Matthew 5:29), would you still have freedom of
               | religion?
               | 
               | > " _So you cannot say you have the right to self-harm.
               | Now, if you have, say, a defect in your body that is
               | preventing the proper functioning of your body, then we
               | may correct this defect through intervention. This is
               | restorative, that is, it seeks to restore the function
               | due to the body by virtue of how it ought to function.
               | This is the basis of medicine._ "
               | 
               | What about vaccination and such where the intent is to
               | cause a small amount of harm now, to prevent a problem
               | you don't have - and may have never faced in any future.
               | This is not restoring a defect, it's augmentative and
               | preventative. Do you not have the right to cause that
               | small harm? And yet that's in opposition to your "
               | _direct self-harm is even worse morally than harm of
               | others because it is in direct opposition to one 's own
               | good_". It's in alignment with one's own good. So, for
               | example, are the torn muscle fibres when weight lifting,
               | or the buildup of lactic acid causing muscle burn when
               | running, or working through the night with no sleep in an
               | emergency.
               | 
               | Less seriously, piercings for jewellery are self-harm and
               | for one's greater happiness in appearance. Do people have
               | no right to wear small pointy uncomfortable high-heel
               | shoes? Is that immoral?
               | 
               | > " _I think it 's pretty obvious that right implies
               | morally acceptability._"
               | 
               | I think it's pretty obvious that there isn't a single
               | "moral acceptability" which everyone agrees on. For
               | example some have the right to eat animals and others
               | consider that morally inacceptable. Some US states have
               | different rules on public nudity than others, and some
               | groups of people have different opinions on the morality
               | of it.
               | 
               | > " _You can 't claim to have a right to something evil_"
               | 
               | Not sure I follow this one; you can't really have a right
               | to murder others, but in the sense of self-harm is it
               | really "evil" to hurt yourself? What is evil and also
               | doesn't involve harm to anyone else?
               | 
               | > " _For example, do you have the right to lobotomize a
               | perfectly healthy brain?_ "
               | 
               | One could argue whether a "perfectly healthy" brain would
               | choose to lobotomize itself, but let's say it does - why
               | do you say that's "very problematic"? The main objection
               | I have - assuming the person is considered sane and
               | healthy - is who is going to pay for the care afterwards,
               | i.e. the harm rolls over onto others and is not purely
               | self-harm. If you could sign that away - it's basically a
               | slow and horrible suicide method.
        
               | Winsaucerer wrote:
               | > I think it's pretty obvious that right implies morally
               | acceptability. You can't claim to have a right to
               | something evil.
               | 
               | I think it's pretty obvious that right does NOT imply
               | moral acceptability, and that you can have a right to
               | something evil. In our societies, we have a great deal of
               | disagreement about what things are morally
               | acceptable/permissible. For a good liberal society, we
               | may allow many things that we think are actually immoral,
               | even evil. You need look no further than, say, the
               | religious arena (including atheists) for such
               | disagreement. People disagree about the moral
               | acceptability of worshiping different gods (or about
               | worshiping any 'gods'), calling someone an asshole,
               | teaching your children one thing or another about sex,
               | about engaging in particular sexual acts, about giving
               | charity (or refraining from giving charity) to certain
               | causes, and so on.
               | 
               | We grant people rights to do certain things (and I'm glad
               | we do), but that does not entail that those things are
               | therefore morally acceptable/permissible. You have a
               | right to do them, but maybe you ought not.
        
               | coryrc wrote:
               | If you don't have the right to your own body, then there
               | aren't rights. It's the axiom.
               | 
               | I'm in favor of drug use (at least almost all), tattoos,
               | body modifications, trying experimental medicine,
               | everything that affects your body. I can see drawing the
               | line at "doing this thing could become a contagion so you
               | can only do it in BSL-4 isolation". But it's your body,
               | your life, you want to spend it stoned or a voluntary
               | amputee or whatever so long as don't take from me, then
               | you should be free to do so.
        
               | refurb wrote:
               | Exactly and why vaccines should never be mandatory.
        
               | MeinBlutIstBlau wrote:
               | Precisely. Otherwise if we're going to walk the line of
               | "well even though it's your body, 'us smarter people' say
               | it's bad for you there for you cannot do it" will
               | inevitably lead to the logic of dictating abortion rights
               | as well. This is exactly the logic conservatives use with
               | the Covid Vaccines but because liberals "know what's good
               | for everyone," people shouldn't be allowed to make the
               | "my body my choice" when it comes to a vaccine.
               | Regardless of who is more logically correct in the
               | scenario, the current stance of American liberalism is
               | "my body my choice" only applies in terms of abortion.
               | Which conservatives when they get in power again, will
               | utilize as rationale to make it illegal as many have been
               | doing for the past decade.
        
               | coryrc wrote:
               | I didn't say you have the right to not alter your body,
               | the public health requirements for contagious diseases
               | seemed reasonable until people have started lumping gun
               | control and "possibly altering your non-existent
               | children"... maybe I'll one day feel as you do.
        
               | coryrc wrote:
               | And those restrictions should only apply to people in the
               | public; if you choose to live off the land somewhere
               | isolated, then those requirements should not apply to
               | you.
        
               | didibus wrote:
               | It isn't about knowing what's best for you, but what's
               | best for others. So where ethics come into play is when
               | what you're seemingly doing to yourself could actually
               | have impact on others as well.
               | 
               | For abortion, you can claim it impacts others both ways,
               | are you impacting a new born from having its life, or are
               | you preventing a yet to be born child from having a
               | troubled life, and saving family, parents and society its
               | burden.
               | 
               | For a vaccine, are you putting others at risk of a
               | disease by not taking the vaccine?
               | 
               | For bio-hacking, are you possibly creating dangerous
               | virus or bacterias that could harm others, are you making
               | modifications to yourself which will put a tole on the
               | medical system if you later need assistance or special
               | treatment if you mess up, etc.
               | 
               | This is the same reasoning with drugs often, will your
               | modified behavior cause harm to others if you consume
               | them?
               | 
               | Etc.
               | 
               | None of this is black and white, but I think having these
               | discussions on "what harm to others it can cause" is
               | justified.
        
               | bobthechef wrote:
               | "Otherwise if we're going to walk the line of "well even
               | though it's your body, 'us smarter people' say it's bad
               | for you there for you cannot do it" will inevitably lead
               | to the logic of dictating abortion rights as well."
               | 
               | The first problem is that you are claiming that the
               | child's body is the woman's body. It isn't and you know
               | that. You know that is it an entirely distinct human
               | being with it's own DNA, etc, etc. In order to justify
               | abortion, you would need to argue that murder (which is
               | the direct, intentional killing of an innocent human
               | being) is justifiable. The logical consequences are
               | devastating. For example, if murder of the most innocent,
               | powerless, dependent, and vulnerable, by those with power
               | over them no less, becomes justifable, then it becomes
               | impossible to argue for the legitimacy any human rights
               | whatsoever. You can't just make up moral principles out
               | of thin air or assign arbitrary boundaries to them
               | according to taste.
               | 
               | The second problem is that this logic seems to put the
               | cart before the horse. In other words, you've decided
               | that abortion is a right axiomatically and you've decided
               | to dismiss anything that would undermine that belief. But
               | the moral acceptability of abortion is not axiomatic and
               | must be judged according to prior moral principles.
               | 
               | "This is exactly the logic conservatives use with the
               | Covid Vaccines but because liberals "know what's good for
               | everyone," people shouldn't be allowed to make the "my
               | body my choice" when it comes to a vaccine."
               | 
               | See my first point above. Here conservatives are indeed
               | speaking of just their own bodies, so this is a false
               | equivalence.
        
               | coryrc wrote:
               | "an entirely distinct human being with it's own DNA, etc"
               | 
               | What makes us human beings is our personalities, our
               | brains. Chop off my hand, I'm still me. Destroy my brain,
               | I'm deceased regardless of how long you keep my other
               | organs going.
               | 
               | A fetus does not become human, IMO, until it can have a
               | personality and sentience. Women have the power to create
               | without consent of the created; the power to destroy
               | their not-yet-human equally lacks the consent of the
               | created. If the latter is prohibited than so should the
               | former.
               | 
               | From a societal view, we have enough people. Every way to
               | support people consensually choosing to not have children
               | should be encouraged.
        
               | jodrellblank wrote:
               | > " _you know that is it an entirely distinct human
               | being_ "
               | 
               | You know that it _isn 't_ entirely distinct, it is inside
               | and completely dependent upon another human.
               | 
               | > " _In order to justify abortion, you would need to
               | argue that murder (which is the direct, intentional
               | killing of an innocent human being) is justifiable._ "
               | 
               | How do you feel when a woman has a miscarriage? The child
               | is dead, the mother's body deliberately killed it. Is she
               | culpable? Is it different if her brain cells are involved
               | in the rejection of the child? Isn't that you assigning
               | arbitrary boundaries according to taste?
               | 
               | There have to _be_ arbitrary boundaries, the universe is
               | a single thing, the idea of there being separate things
               | inside it is a human convenient fiction, it 's not real.
               | The boundaries between things are fuzzy and disappear the
               | closer you look at them. There's "just" atoms and energy,
               | everything else is concept, if we want morals in the
               | universe we have to make them up, and if we want them to
               | apply to people, we have to make those up too.
        
         | stuntkite wrote:
         | His YouTube channel The Thought Emporium, is amazing. He just
         | moved into a new lab and I really appreciate what he's working
         | on and how he communicates it. The robot painting fluorescent
         | proteins is neat and recently he dropped a video demonstrating
         | his adventures making synthetic opal.
         | 
         | Apparently the edit made him totally lactose tolerant for over
         | a year and now he has very mild lactose intolerance. He says he
         | hasn't redosed because he wants to improve the plasmid (I think
         | that's the right term, BUGFIX probably isn't right) before he
         | takes another run at it.
         | 
         | Here's his update video from last year on that endeavor.
         | https://www.youtube.com/watch?v=aoczYXJeMY4
        
           | faitswulff wrote:
           | Technically a plasmid is kind of like a software patch, but
           | generally they're employed by bacteria and not eukaryotes
           | like humans.
        
             | stuntkite wrote:
             | Interesting. I have watched nearly all of The Thought
             | Emporium's videos (so clearly I'm an expert, lol) and I
             | think he uses the term plasmid to describe DNA he's working
             | on in the crazy bio IDE he uses. I think in this instance
             | he applied it to a yeast that he cultured and put into
             | pills and swallowed.
             | 
             | He really is doing some neat stuff though. He's inspired me
             | to do some small bio hacking experiments and it ALMOST
             | makes me want to go back to college.
        
               | shpongled wrote:
               | Plasmid is the correct term!
        
               | stuntkite wrote:
               | I am not being sarcastic when I say thank you for
               | confirming that. If someone didn't confirm it it would
               | pop back in my head for days, "maaan, you fucked it up
               | and now some other nerds are gonna use the term wrong and
               | that's really not helping anyone." heh. Cheers. :)
        
         | jcims wrote:
         | Here's his YouTube channel:
         | https://youtube.com/c/thethoughtemporium
         | 
         | Amazing and alarming what a smart and dedicated person can do
         | with limited funds.
        
           | aardvarkr wrote:
           | That's really cool, thanks for sharing! I just watched his
           | video on the WiFi camera and I loved his presentation style
        
         | DoreenMichele wrote:
         | I recently watched the two videos on this (that I'm aware of)
         | and it's the first time gene therapy didn't strike me as
         | macabre Frankensteinian experiments on vulnerable people who
         | will say "yes" to all kinds of crazy stuff out of desperation.
         | 
         | Cystic fibrosis significantly impacts gut function and many
         | people with it do poorly with dairy products. I could see this
         | and/or some variation of this being valuable therapy for the CF
         | community while we wait for better answers.
         | 
         | Although best known as a deadly lung disorder, the impact on
         | gut function is a major problem that just gets less press but
         | is something people with CF and their loved ones fret about a
         | whole lot. I think if you could do something to improve gut
         | function fairly quickly and semi permanently, you would likely
         | reduce a lot of their other issues as well because people with
         | CF are typically underweight, sometimes severely underweight,
         | and their chronic malnourishment is a major underlying source
         | of their inability to fight off infection.
        
           | ohbleek wrote:
           | CFTR modulators have completely transformed CF treatment for
           | +90% of patients. Gene therapy is a possibility, however,
           | with there being +1000 possible mutations that can lead to
           | CF, it's not the clear cut candidate that some of the other
           | rare genetic disorders are right now. The cynic in me also
           | thinks that with CFTR modulators costing ~350k/year, drug
           | companies may not feel incentivized to run the risky gene
           | therapy trials and patients may not want to participate given
           | the dramatic improvement in their lives with current therapy
           | options.
        
             | DoreenMichele wrote:
             | That honestly doesn't fit with my understanding of how
             | life, the universe and everything works. I did some
             | searching and this source says that 85 percent of people
             | with CF have at least one F508del mutation:
             | 
             | https://pediatricsnationwide.org/2019/11/25/a-major-
             | mileston...
             | 
             | And this source agrees with your statement:
             | 
             |  _The triple therapy, known as Trikafta, could effectively
             | treat 90% of people with cystic fibrosis._
             | 
             | https://pediatricsnationwide.org/2019/11/25/a-major-
             | mileston...
             | 
             | When I was on CF lists, I was hearing that the first drug
             | in this class that had recently come out only helped five
             | percent of people with CF (I was specifically hearing that
             | it helped people who were double F508del and that was only
             | five percent of all CF patients, IIRC) at a cost of at
             | least $250k annually, so "if you can afford it or live in a
             | country that covers that for you."
             | 
             | I was also hearing people say that some of the stats were
             | dummied up and exaggerated because so much money was at
             | stake.
             | 
             | I left all the CF lists years ago. The figures I'm seeing
             | today don't fit with what's in my head and I don't know how
             | to sort out what's true and what's PR nonsense and it
             | doesn't really matter to me personally. I and my son with
             | CF are both off all drugs and have lived on very little
             | money for years.
             | 
             | Good for them. I'm sure this makes me even more irrelevant,
             | "crazy" and stupid in the eyes of the world than I was
             | already. Which is no big deal. I don't really care. I'm
             | just leaving this comment because I asked you for a
             | citation and then found my own and deleted my comment.
             | 
             | I don't want people to think I'm being a weasel or
             | anything. The articles I'm finding seem to agree with you.
             | I don't know what to make of that and it's not really
             | relevant to my life. I will never have the money for these
             | drugs and don't really care.
             | 
             | Have a good day.
        
             | [deleted]
        
           | jjoonathan wrote:
           | > it's the first time gene therapy didn't strike me as
           | macabre Frankensteinian experiments on vulnerable people
           | 
           | That's because it has barely begun to become viable IRL while
           | science fiction writers have been using it as a convenient
           | punching bag for decades -- without ever stopping to ask if
           | they should.
        
             | DoreenMichele wrote:
             | No, that's because I have a form of cystic fibrosis and I
             | know what I and others like me have been willing to do in
             | the face of that and because I'm aware of real world
             | experiments done on people who were seen as _less than
             | human_ for some reason, such as the Tuskegee syphilis
             | experiments done on Black Americans and horrifying
             | experiments done on people in concentration camps in Nazi
             | Germany.
             | 
             | https://en.m.wikipedia.org/wiki/Tuskegee_Syphilis_Study
             | 
             | https://encyclopedia.ushmm.org/content/en/article/nazi-
             | medic...
        
         | devoutsalsa wrote:
         | This is insane. I love it and it terrifies me at the same time.
        
       | TaupeRanger wrote:
       | Wow...this is a really big deal. Congratulations to this team and
       | to the patients who were treated. I hope the treatment continues
       | to keep the disease at bay.
        
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